DEPARTMENT OF INSURANCE
Affiliations
NameUnited Benefits Agency IncDOIID581737NAIC NPN1875558
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedNon ResidentAgentVariable Life and Variable Annuities   
Pending ReplacementNon ResidentAgentHealth9/22/2008 3/31/2026
Pending ReplacementNon ResidentAgentLife9/22/2008 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
Pending ReplacementAccendo Insurance Company300312Agent - Life6/10/2020 
InactiveAetna Health Inc.300694Agent - Health10/14/200412/31/2007
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health2/9/2012 
Pending ReplacementAetna Health and Life Insurance Company300523Agent - Health1/23/2017 
Pending ReplacementAetna Life Insurance Company301140Agent - Health2/9/2012 
Pending ReplacementAetna Life Insurance Company301140Agent - Life2/9/2012 
Pending ReplacementAll Savers Insurance Company301940Agent - Health8/2/2024 
Pending ReplacementAll Savers Insurance Company301940Agent - Life8/2/2024 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health10/10/20174/15/2020
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life10/10/20174/15/2020
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20124/21/2017
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20124/21/2017
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health4/30/200912/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life4/30/200912/31/2012
Pending ReplacementAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/28/2025 
Pending ReplacementAnthem Insurance Companies, Inc.300941Agent - Health4/28/2025 
InactiveAnthem Life Insurance Company301209Agent - Health7/1/20043/31/2008
InactiveAnthem Life Insurance Company301209Agent - Life7/1/20043/31/2008
InactiveCHA HMO, Inc.300662Agent - Health7/1/20043/31/2008
InactiveCIGNA Health & Life Insurance Company301783Agent - Health7/5/201712/21/2018
InactiveCIGNA Health & Life Insurance Company301783Agent - Life7/5/201712/21/2018
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/6/20232/16/2026
InactiveCompBenefits Dental, Inc.591692Agent - Health1/2/200912/8/2015
InactiveCompBenefits Insurance Company301864Agent - Health1/2/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life1/2/20097/2/2013
Pending ReplacementContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
InactiveCoventry Health and Life Insurance Company301771Agent - Health4/26/20166/15/2022
InactiveDental Care Plus Inc.301495Agent - Health6/1/20153/31/2025
Pending ReplacementDental Concern Inc. (The)301641Agent - Health7/10/2025 
Pending ReplacementFidelity Security Life Insurance Company300466Agent - Health4/9/2020 
Pending ReplacementFidelity Security Life Insurance Company300466Agent - Life4/9/2020 
InactiveGolden Rule Insurance Company301943Agent - Health4/17/201312/13/2014
InactiveGolden Rule Insurance Company301943Agent - Life4/17/201312/13/2014
Pending ReplacementHartford Life and Accident Insurance Company300878Agent - Health6/5/2012 
Pending ReplacementHartford Life and Accident Insurance Company300878Agent - Life6/5/2012 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health8/16/201612/13/2016
InactiveHumana Health Plan, Inc.300142Agent - Health9/29/200812/13/2022
Pending ReplacementHumana Insurance Company301104Agent - Health7/10/2025 
InactiveHumana Insurance Company301104Agent - Life4/18/201912/19/2019
Pending ReplacementHumana Insurance Company of Kentucky300826Agent - Health7/10/2025 
Pending ReplacementHumana Insurance Company of Kentucky300826Agent - Life7/10/2025 
InactiveHumanaDental Insurance Company301457Agent - Health9/29/20082/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life9/29/20082/23/2012
InactiveJohn Alden Life Insurance Company300573Agent - Health9/27/20043/31/2008
InactiveJohn Alden Life Insurance Company300573Agent - Life9/27/20043/31/2008
InactiveKanawha Insurance Company300127Agent - Health3/16/201612/8/2017
InactiveKanawha Insurance Company300127Agent - Life3/16/201612/8/2017
InactiveMadison National Life Insurance Company Inc.301458Agent - Health8/25/20063/31/2008
InactiveMadison National Life Insurance Company Inc.301458Agent - Life8/25/20063/31/2008
InactiveMedico Corp Life Insurance Company301777Agent - Health7/8/20164/16/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life7/8/20164/16/2018
InactiveMedico Insurance Company301559Agent - Health7/8/201612/26/2018
InactiveMedico Insurance Company301559Agent - Life7/8/201612/26/2018
InactiveMetropolitan Life Insurance Company301948Agent - Health10/8/200812/6/2016
InactiveMetropolitan Life Insurance Company301948Agent - Life10/8/200812/6/2016
Pending ReplacementNGL Insurance Company300596Agent - Health7/18/2024 
InactiveProvident Life and Accident Insurance Company301525Agent - Health8/16/20053/31/2008
InactiveProvident Life and Accident Insurance Company301525Agent - Life8/16/20053/31/2008
Pending ReplacementReliance Standard Life Insurance Company300584Agent - Health6/7/2011 
Pending ReplacementReliance Standard Life Insurance Company300584Agent - Life6/7/2011 
Pending ReplacementRenaissance Life & Health Insurance Company of America301447Agent - Health12/18/2019 
Pending ReplacementRenaissance Life & Health Insurance Company of America301447Agent - Life12/18/2019 
Pending ReplacementStandard Insurance Company300185Agent - Health1/24/2025 
Pending ReplacementStandard Insurance Company300185Agent - Life1/24/2025 
InactiveTime Insurance Company300683Agent - Health4/7/201411/15/2019
InactiveTime Insurance Company300683Agent - Life4/7/201411/15/2019
InactiveUNUM Life Insurance Company of America300817Agent - Health8/16/20053/31/2008
InactiveUNUM Life Insurance Company of America300817Agent - Life8/16/20053/31/2008
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/6/20232/16/2026
Pending ReplacementUnitedHealthcare Insurance Company300946Agent - Life7/27/2014 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health5/10/201812/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/20192/21/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/1/202312/17/2024
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/6/20232/16/2026
Pending ReplacementVision Service Plan Insurance Company300526Agent - Health7/25/2017 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveClass, Karen Sue 315022Agent - Health3/30/2009 
InactiveClass, Karen Sue 315022Agent - Life3/30/200912/21/2018
ActiveKross, David Ronald 345248Agent - Health9/22/2008 
ActiveKross, David Ronald 345248Agent - Life9/22/2008 
InactiveSchumer, Shelley 535311Agent - Health3/30/200911/2/2016
InactiveSchumer, Shelley 535311Agent - Life3/30/200911/2/2016
ActiveWinters, James R 390501Agent - Health9/22/2008 
ActiveWinters, James R 390501Agent - Life9/22/2008 

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